Individual
STEPHANIE GRAUL LOWRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8340 N BROADWAY, SAINT LOUIS, MO 63147-2333
(314) 385-9563
Mailing address
823 W STATE ST, MASCOUTAH, IL 62258-1720
(615) 290-2605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT0000007392
TN
225100000X
Physical Therapist
070009662
IL
225100000X
Physical Therapist
Primary
2010028880
MO
Other
Enumeration date
04/18/2007
Last updated
11/08/2010
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